person
Shandall Dicke
Addiction (Substance Use Disorder) Registered Nurse in Roseburg, Oregon
NPI 1326562570

Shandall Dicke is an Addiction (Substance Use Disorder) Registered Nurse based in Roseburg, OR and is specialized in Addiction (Substance Use Disorder). Shandall Dicke practices in Roseburg, OR. The NPI Number for Shandall Dicke is 1326562570 and holds a License No. 20094187RN (Oregon).

The current practice location address for Shandall Dicke is 548 Se Jackson St, Roseburg, OR and can be reached out via phone at 541-492-0241 and via fax at 541-492-0241. You can also correspond with Shandall Dicke through the mailing address at PO BOX 1121, ROSEBURG, OR - 97470-0254 (mailing address contact number: ).

Location: 548 Se Jackson St, Roseburg, OR, 97470-0254
person
Provider Profile Details
NPI Number
1326562570
Provider Name
Shandall Dicke
Credential
Provider Entity Type
Individual
Gender
Female
Address
548 Se Jackson St, Roseburg, OR, 97470-0254
Phone Number
541-492-0241
Fax Number
541-492-0241
Provider Enumeration Date
07/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
548 Se Jackson St
City
State
Zip
97470-4983
Phone Number
541-492-0241
Fax Number
541-492-0241
person
Provider Business Mailing Address Details
Address
548 Se Jackson St
City
State
Zip
97470-4983
Phone Number
541-492-0241
Fax Number
541-492-0241
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
20094187RN (Oregon)
Definition
Definition to come...
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